Visual Impairment - National AgrAbility Project

Report
AgrAbility Webinar Series:
Visual Impairments
and Their Relevance to
Agriculture
November 27, 2012
BASIC WEBINAR INSTRUCTIONS
• Need speakers or headphones to hear the
presentation
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• Questions about presentation
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indicate that you have a question
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BASIC WEBINAR INSTRUCTIONS
• 4 quick survey questions
• Session recorded and archived with
PowerPoint files at
http://agrability.org/OnlineTraining/archived along with resource
materials
• Problems: use chat window or email
[email protected]
KNOWN WEBINAR ISSUES
• Disconnection with presenters
Hang on – we’ll reconnect as soon as
possible
• Disconnection with participants
Log in again
• AgrAbility: USDA-sponsored
program that
assists farmers, ranchers, and other
agricultural workers with disabilities.
Partners land grant universities with disability
services organizations
Currently 23 projects covering 25 states
National AgrAbility Project: Led by Purdue’s
Breaking New Ground Resource Center
Goodwill of the Finger Lakes = funded partner
More information available at www.agrability.org
Visual Impairments and Their
Relevance to Agriculture
ABVI-Goodwill of the Finger Lakes
Vision Rehabilitation Depar tment
AgrAbility
INTRODUCTIONS
• Nikki Llewellyn M.S. COMS
[email protected]
• Sharon Schwalm M.S. CVRT
[email protected]
• Christopher Frank
[email protected]
ABVI
• Association for
the Blind and Visually Impaired
• Located in Rochester, NY
• Serves a
9 county region
• Provides comprehensive vision rehabilitation
services
• Mission Statement:
“To prepare and empower people who are blind or
visually impaired to be self sufficient and contribute to
their families and communities.”
WHAT IS VISION REHABILITATION?
• Vision Rehabilitation services includes a wide array
of professionals and services that can restore
functioning after vision loss.
 Vision Rehabilitation Therapists provide training on how to
adapt everyday activities.
 Orientation and Mobility Specialists teach how to travel safely
in any environment.
 Employment and Training Specialists help to obtain or
maintain employment using individualized career services and
technology training
WHAT IS VISION REHABILITATION?
 Low Vision Specialists are specially trained doctors
who examine the person’s vision and recommend
devices to improve the use of remaining vision. An
occupational therapist may be involved in training the
individual how to use the recommended devices.
 Social workers and therapists provide support through
information, referrals, counseling and support groups.
ASPECTS OF VISION LOSS
• Acuity
The focus or blurriness of the “picture”
A measure of clarity at a certain distance. 20/20 vision
means what is at 20 feet appears to be at 20 feet.
20/200 means what is at 20 feet appears as if 200 feet
away. It is sometimes measured in 10 foot increments
such as 10/100 etc.
Glasses are the most common way to correct for this, but
some eye conditions and acuities can not “be fixed” with
normal glasses. This is when magnification is needed.
ASPECTS OF VISION LOSS
• Visual Field
The size of the viewing field or how much can be seen in
“the picture”.
Visual field is measured in degrees. A straight line is
180 degrees. Most people have about 170 degrees of
vision.
Some people’s visual’s fields are so restricted that it is
like tunnel vision.
Some people have peripheral or side vision but don’t
have vision in the center.
ASPECTS OF VISION LOSS
• Contrast sensitivity
Contrast refers to how well the object or viewing
target stands out from the background. White on
black is high contrast. White on grey has less
contrast.
Contrast sensitivity tests measure size and contrast.
A person with low contrast sensitivity may not see
the flame on the stove, or be able to tell which light
is lit at a traffic light. Extra lighting may help.
CONTRAST
• This is an
example of poor contrast
• This is an
example of good contrast
DEFINITIONS OF BLINDNESS
• Visual Impairment
Any degree of vision loss that impacts an individuals’ daily
activities.
20/70 is a measurement used to indicate visual impairment
and may qualify the individual to receive services from a state
agency.
• Blindness
Acuity measurement of 20/200 or worse, or if nothing can be
read on the 20/100 line.
Visual field of less than 10 degrees from center. A visual field
loss that closes in to less than 20 degrees (10 degrees from
center all around) or a visual field loss that covers all of the
central vision to at least 10 degrees around.
DEFINITIONS OF BLINDNESS
• Light Perception
LP can refer to light perception – the individual can only tell if
the light is turned on or off. It can also refer to light projection
which is when the individual can locate the source of the light.
NLP generally stands for no light perception. The individual
sees nothing and can not tell if a light is turned on or not
ORIENTATION AND MOBILIT Y (O&M)
• COMS- Certified Orientation and Mobility Specialists
Teach safe travel techniques including use of remaining vision,
traveling with a long cane, orientation techniques and how to
use transportation.
Certified by ACVREP – the Academy for Certification of Vision
Rehabilitation Professionals
• Mobility Instructors/Travel Trainers
– individuals
trained by the National Federation of the Blind to
teach independent travel techniques including cane
use, orientation techniques and how to use
transportation.
ORIENTATION AND MOBILIT Y (O&M)
• Orientation refers
to knowing where you are in
relation to other people, places or things.
• Mobility refers
to how an individual with reduced or
no vision is going to move through the environment.
Various tools are used to move safely and efficiently.
ORIENTATION AND MOBILIT Y (O&M)
• O&M Tools
ORIENTATION AND MOBILIT Y (O&M)
• Tools
Enhance vision by reducing glare, adding contrast, using a
telescope, visual techniques such as scanning and tracking.
ORIENTATION AND MOBILIT Y (O&M)
Long cane to preview the environment and protect the user
from the waist down.
ORIENTATION AND MOBILIT Y (O&M)
Dog guide specially trained from one of the
nationally recognized dog guide schools.
Electronic Devices
 Sonar Device
 Talking Compass
 GPS
ORIENTATION AND MOBILIT Y (O&M)
• Tips and Techniques
• Orientation
Guide wire – run a cable from one location to the next and put
a large loop of cable around it that you can slip your arm or
hand through it but not have to hold it with your fingers.
Create a guide line on the ground by painting rocks or large
heavy objects that will stay in place, (discarded bowling balls
from bowling facilities).
Outside make paths with gravel to follow or mow a path and
let the grass grow up higher along the path.
Inside use non slip treads or textured rubber coating to provide
a textured path that you can feel through shoes and boots .
ORIENTATION AND MOBILIT Y (O&M)
• Tips and Techniques
Use a bright light as a landmark or beacon to guide you to a
destination.
Check the sky line to find landmarks before you need them –
to help guide you.
Use brightly colored bicycle flags on tall poles to mark
locations outside.
Use a compass to maintain orientation when in large open
spaces.
Use GPS on your phone to mark specific destinations. If you
get lost or disoriented set the GPS on your phone to provide
you with verbal directions to get to your desired destination.
ORIENTATION AND MOBILIT Y (O&M)
Tips and Techniques
• Mobility
Have a long cane in a holster or pouch so that if you need to
spot check the depth of something you can use the cane to
measure the distance.
Use color contrast to mark steps, drop offs, recessed troughs.
Determine best contrast by painting small boards in various
colors and then lay them down on the surface where you need
a guide line to determine which provides you with the best
contrast.
Indoors run florescent lights overhead along the center of your
path so that you can follow them to stay on the path and away
from the drop offs to each side.
ORIENTATION AND MOBILIT Y (O&M)
Tips and Techniques
• General safety
Make yourself and others (co-workers) more visible by wearing
a reflective safety vest.
Keep your hands free to assist with balance. Use a back pack
to carry items.
Have a head mount flashlight or one that fits behind your ear
that allows you to keep your hands free but provides light
where it is needed. These can be purchased at Wal-Mart or
Radio Shack and they work great when working under the hood
of a car or when you need to access information on dials or
buttons of equipment.
VISION REHABILITATION THERAPY (VRT)
• Addresses any challenge due to a vision impairment,
including but not limited to:
Communication and Financial skills
Meal and Home management
Personal skills and Family Care
Recreation
• Service provided in the home, work, or out in the
community
VISION REHABILITATION THERAPY (VRT)
• Service starts with functional assessment
• Work with individual, breaking down each task to determine
problem area(s); incorporating task analysis
Paves way for future problem solving new challenges
• Teaching adaptations and recommending adaptive equipment
as needed for goal attainment
• Supplement vision by use of other senses
• Show individual ways to maximize usable vision
Increasing color contrast
Reducing glare
Adjusting lighting
Use of optical devices
VISION REHABILITATION THERAPY (VRT)
• Cues that Vision Rehabilitation Therapy may be
needed:
Holding reading material up close to the face
Bending close to an object while doing an activity
Difficulty locating items
Difficulty or no longer performing everyday activities
• Resource
www.visionaware.org
VISION REHABILITATION THERAPY (VRT)
• Adaptive Techniques
Change one or more of the steps involved in performing an
activity to make it easier to do
May make this change in conjunction with adaptive equipment,
labeling and marking materials, lighting, color contrast and
magnification devices
Print vs. cursive
Bold medium point or
marking pens
Color contrasting writing guides
Large print (LP) check register
Guide Line Checks (LP)
Purchased through bank
or by calling Deluxe Checks
VISION REHABILITATION THERAPY (VRT)
• Adaptations: Adaptive Equipment
Any item that is used to change an object making it easier to use or
identify.
As simple as a rubber band or as complex as an electronic labeling
device
• Examples: contrasting bump dots, large print keyboard stickers, spot n
line, and example using PENfriend
VISION REHABILITATION THERAPY (VRT)
• Adaptations: Adaptive Equipment
Or, an object that can be used to change how a task is performed to
make it easier to complete
Examples:
• Low vision or talking clocks and watches
• Large Print and talking calendars
VISION REHABILITATION THERAPY (VRT)
• Adaptations: Adaptive Equipment
Talking Kitchen scales can
be used to weigh feed
supplements, produce, or
other product
A talking indoor-outdoor
thermometer can provide
temperatures in home,
greenhouse or outside
Digital Recorders
to record notes in
the field
 Talking kitchen &
personal scales
 Talking clinical
thermometer
 Talking Indoor-Outdoor
Thermometers
I have used LP and talking
personal scale to weigh
Alpaca cria (baby)
One of our VRT’s had a
lesson with a farmer, a cow
and a talking clinical
thermometer
VISION REHABILITATION THERAPY (VRT)
• Adaptations: Adaptive Equipment
Talking kitchen scale
weighing alpaca roving
Large print scale
weighing alpaca yarn
with magnifier
Talking measuring tape
VISION REHABILITATION THERAPY (VRT)
• Transferring skills
Skills learned for one activity may work for other activities
• Measuring using color contrast, leveling technique or talking measuring
cup in the kitchen will work to measure feed or feed supplements
VISION REHABILITATION THERAPY (VRT)
• Color Contrast: Increasing color contrast can improve visual
performance.
• Surveyor’s flagging
tape to secure
trellising plants
and for ease of
locating items
(landmarks,
stakes,)
Paint tools contrasting
colors
• A tennis or bright
•
colored foam ball
placed on top of a
•
plant stake for
location and safety
•
Purchase color contrasting
tools
Multi-purpose rubber dip to coat
tool handles
Bright colored tape
VISION REHABILITATION THERAPY (VRT)
• Other examples of color contrast:
VISION REHABILITATION THERAPY (VRT)
• Glare Reduction: Glare can be an issue both indoors
and out.
Try sitting with your back to a window during indoor activities
Wear hats with caps or visors and sunglasses while inside or
outside
Avoid bare light bulbs (Increase light and glare
Anti-glare window film, shades or blinds
Use flat or matte finishes on furniture
Carpets and non-slip floor finishing diffuse light
VISION REHABILITATION THERAPY (VRT)
 Lighting: Everyone’s lighting needs are dif ferent .
• Photophobic (Sensitive to light)
• Need combination of room and task lighting
• Some may feel there is never enough light
 Individualized lighting evaluations of the home, barn and storage
buildings is essential.
Examples of
full or broad
spectrum,
LED and
Fluorescent
task lighting.
VISION REHABILITATION THERAPY (VRT)
• Optical Devices
VRT’s integrate recommended magnification devices during lessons
 Hand and stand illuminated magnifiers
Based on curvature of the lens, the smaller
the lens size, the stronger the magnification
VISION REHABILITATION THERAPY (VRT)
 Optical Devices
 Spectacles
 Binoculars
 Monoculars
For distant and near tasks
VISION REHABILITATION THERAPY (VRT)
• Organization: Organization is key to avoiding lost items
Totes, tool buckets, color contrasting tarps/trays can be used while
working on projects
A lazy susan drilled to hold drill bits in order of size labeled
appropriately
White washed peg board providing color contrasting background to
hang up tools
Contrasting colored nylon rope can
replace string to mark rows for
planting garden
Using large print, Braille or
PENfriend audio labels
to label items in the
home, barn, or storage
VISION REHABILITATION THERAPY (VRT)
• IOS Devices (iphone or ipad) with Voice Over can be used:
Apps for note-taking, color ID, labeling
As GPS on the farm
To take pictures of plant disease, insect infestation, or sore on an
animal to enlarge for identification purposes
• e-mail to vet or cooperative extension
• VRT’s Motto: Whatever Works for an
individual is what is right
for that individual.
Please remember: everyone is dif ferent
ADAPTIVE TECHNOLOGY
• Devices or software that allows a person to access
information in print or electronic format
• Cues that
it may be needed
Squinting
Sitting very close to monitor
Head/eye aches
ADAPTIVE TECHNOLOGY
• Contrast vs. Enlargement
Good contrast can reduce eye strain
Enlargement allows information to be seen larger, but reduces
the amount of information on the screen
ADAPTIVE TECHNOLOGY
• Major Devices

CCTVS- Desktop and Compact Portable
ADAPTIVE TECHNOLOGY
• Major Devices

Adaptive software for computers
 ZoomText, MAGic, Windows Magnifier, Apple Zoom
ADAPTIVE TECHNOLOGY
• Large Monitor
ADAPTIVE TECHNOLOGY
• Portable Devices
iOS Devices (iPhone, iPod, iPad)
Android Smart Phones
•
•
•
•
Reverse colors
Zoom in
Large text
Spoken text
CONCLUSION
• Additional resources are available on the website
• Get connected with a Vision Rehab Agency in your
region
• Remember that everybody’s vision is different
•A
little change can make a big difference - get
creative!

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